Aortoabdominal aneurysm infected by Yersinia enterocolitica serotype O:9.
A 78-year-old-man was hospitalized for surgical treatment of a Yersinia enterocolitica serotype O:9 infected primary aortoabdominal aneurysm which ruptured soon after admission. Infection of aneurysm is an unusual manifestation of yersiniosis, especially in patients with no predisposing underlying condition. This case, and review of the literature, highlights that serotype O:9 has a predilection for vascular tissue. Cross reaction with Brucella spp. may be responsible for misdiagnosis of Y. enterocolitica O:9 infected aneurysms.
La Scola
B
B
Unité des Rickettsies, UPRESA 6020, Faculté de médecine, Université de la Mediterranée, Marseille, France.
Musso
D
D
Carta
A
A
Piquet
P
P
Casalta
J P
JP
D000368:Aged; D000785:Aneurysm, Infected / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D000890:Anti-Infective Agents / Q000494:pharmacology / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery*; D002002:Brucella / Q000276:immunology; D003429:Cross Reactions; D004359:Drug Therapy, Combination; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D015242:Ofloxacin / Q000627:therapeutic use; D010406:Penicillins / Q000494:pharmacology / Q000627:therapeutic use; D010878:Piperacillin / Q000494:pharmacology / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D015009:Yersinia Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D015008:Yersinia enterocolitica / Q000187:drug effects / Q000276:immunology / Q000302:isolation & purification
D000890:Anti-Infective Agents; D010406:Penicillins; D008795:Metronidazole; D015242:Ofloxacin; D010878:Piperacillin